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Online Forms & Insurance

Occupational Health Serivces LLC offers our patient forms online so they can be completed at your convenience before you arrive at our chiropractic office.

  • If you do not already have AdobeReaderĀ® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out single-sided and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

New Patient Forms  **Please print the forms single-sided**

Physical Evaluation Forms

DOT Medical Examination Form

KSHSAA Student Athletic Physical Form


Occupational Health Services is a preferred provider for Blue Cross Blue Shield.  Our office will file all Blue Cross Blue Shield claims.  If you have an insurance provider other than Blue Cross Blue Shield we can assist you with filing your own claim by providing you the information that your insurance provider will request.  You can contact Kristi Greene at [email protected] or by calling the office at (620)276-8284.  

Occupational Health Services LLC no longer files medicare, we apologize for the inconvenience.